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The association between guideline adherent radiographic imaging by chiropractic students and the diagnostic yield of clinically significant findings

journal contribution
posted on 12.05.2022, 23:03 by Shangavi Parthipan, Chris Bowles, Katie de LucaKatie de Luca, Hazel Jenkins
Background: Radiographic guidelines aim to increase the diagnostic yield of clinically relevant imaging findings whilst minimising risk. This study assessed the appropriateness of radiographic referrals made by student chiropractors and explored the association between guideline appropriate imaging and clinically significant radiographic findings. Methods: Radiographic referral and report findings (n=437) from 2018 were extracted from Macquarie University chiropractic clinics. Appropriateness of radiographic referrals was assessed according to current radiographic guidelines. Radiographic findings were assessed for clinical significance. The association between guideline appropriate radiographic referral and clinically significant radiographic findings was assessed using logistic regression analysis and odds ratios were estimated. Results: The proportion of guideline appropriate imaging was 55.8% (95%CI: 51.2-60.4). An association between guideline appropriate radiographs and clinically significant findings was found (OR: 2.2; 95%CI: 1.3-4.1). Conclusions: Approximately half of all radiographic referrals made by chiropractic students were guideline concordant. Guideline appropriate imaging was associated with an increase in clinically significant radiographic findings.

History

Volume

65

Issue

1

Start Page

66

End Page

75

Number of Pages

10

eISSN

1715-6181

ISSN

0008-3194

Publisher

Canadian Chiropractic Association

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

Chiropractor, Private practice, Sydney; Macquarie University

Era Eligible

Yes

Journal

Journal of the Canadian Chiropractic Association

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